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Organization

LONG TERM RX

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TAMMY ALLEN (VP MGR DIRECTOR)
(765) 529-1338
Entity
Organization

Contact information

Practice address
540 N MEMORIAL DR, NEW CASTLE, IN 47362-4922
(765) 529-1338
(765) 521-8656
Mailing address
540 N MEMORIAL DR, NEW CASTLE, IN 47362-4922

Taxonomy

Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
60004040A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1527970
OTHER ID NUMBER-COMMERCIAL NUMBER
Enumeration date
10/12/2006
Last updated
08/22/2020
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